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Forms / Treatment Authorization

Employer Authorization Form for Occupational Health Services

In order to treat your employees at a UH Occupational Health Services Clinic, we must receive a completed and signed Employer Authorization Form from any patient visiting us for treatment of a first-time injury or illness. We cannot treat patients without the form.

Download the Employer Authorization Form

Get a Quote for Occupational Health Services

Connect with UH Occupational Health Services by filling out our convenient online form.

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iSystoc User Agreement

Before accessing our Occupational Health client portal, iSystoc, you should sign, scan and return the user agreement to OCCHealth@UHhospitals.org. Once we receive, you will receive an email with your username, temporary password and other instructions for accessing iSystoc.

Download the iSystoc User Agreement

Download iSystoc Agreement – No indemnification (For State/Government Agencies)

Connect with UH Employer Solutions

Fill out our online form to learn more about customized healthcare solutions for your organization.

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Connect with Employer Solutions

Learn more about our comprehensive services by contacting UH Employer Solutions Account Manager
Seth Baumberger at 216-983-5539.